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Home My WebLink AboutBLD2000-00188 p BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD00-00188 Received Date 03/24/2000 SITE ADDRESS: 130 SUNSET BLVD Issue Date 03/31/2000 PORT TOWNSEND, 98368 Expiration Date 03/31/2001 APPLICANT: JIM GRABICKI PHONE: (360)385-6152 VICKI GRABICKI 1110 BECKET POINT RD PORT TOWNSEND WA 98368 SUBDIVISION: CAPE GEORGE COLONY DIV 2 Block: 3 Lot: 3 PARCEL NUMBER: 938100303 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: CAVETTE CONSTRUCTION INC PHONE: (360)385-3247 P O BOX 1953 PORT TOWNSEND WA 98368 Contractor's License: CAVETCI05ON5 Expires: 07/26/2000 LOAN LENDER/ CBIC BOND HOLDER: PROJECT DESCRIPTION INTERIOR REMODEL& DECK REPAIR REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] ra im n Iumbin : cover orc. .>> C-Go nay 4-2)-on [ ] ; Propane Tank/Lines: [vi Insulation: O k'i [ Sheetrock: O t 5-18-"f'D J7 COW& [0- aTTOccupanc /C '7l///e HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION. THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS MAY APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00188 Received Date: 3/24/2000 SITE ADDRESS: 130 SUNSET BLVD PORT TOWNSEND, 98368 APPLICANT: JIM GRABICKI PHONE: (360)385-6152 VICKI GRABICKI 1110 BECKET POINT RD PORT TOWNSEND WA 98368 SUBDIVISION: CAPE GEORGE COLONY DIV 2 Block: 3 Lot: 3 PARCEL NUMBER: 938100303 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: CAVETTE CONSTRUCTION INC PHONE: (360)385-3247 P O BOX 1953 PORT TOWNSEND WA 98368 Contractor's License CAVETCI05ON5 Expires 07/26/2000 ARCHITECT/ GUY HUPY ENGINEER : PROJECT DESCRIPTION: INTERIOR REMODEL & DECK REPAIR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 30,000.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: CAPE GEO STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: 2 Exist: 2 Seismic Streams Prop: Prop: Flooding Landslide Total: 2 Total: 2 F&W Plat Conditions Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $441.75 MAM 03/24/00 25483 Plan Check $132.53 MAM 03/24/00 25483 Ai Pp�� State Building Code $4.50 MAM 03/24/00 25483 r Total: $578.78AR 3 tl idr" °o, Jeffer n G ( l 4 i/dian nil Dn y Planning 4rtm pnt I:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County I :partment of Community 1 velopment 4� ;,�N °° z . 621 Sheridan Street,Port Townsend WA 08368[3601370-4450 perm : 0 0 Q _iiG Project.Description: Mt' VIn O aQ 1:39j1dg Type: Project Type: �Fr�ame�ype: 1 _ Single Family "_ New 'Wood Garage Attached/Detached 111 on Z Steel Modular L/ Alteration/Remodel 1 Concrete =7 Commercial .11 Repair ▪ Masonry Multi-family/#of Units Demolition ▪ Other: Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: C Existing: wer =Community System / Electricity Oil Proposed: Proposed: Individual System Woodstove Z. Propane Total: Total: Z If not sewer,fill out the following: i Heat Pump , Conventional D Alternative Z1 Other Permit# SEP Cl1- j 1 Water Supply:p �� C f � (��Private well Two Parry ��Well ublic Name of water system: y Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2N'D Floor Base fee 1/11/, 73 3rd Floor Plan Check fee /i., , 5J Htd Basement State Surcharge fee ' 6,0 Unhtd Basement Subtotal 5-7,,9* 78 Garage/Carport Pot Water Review fee — Decks 911/Rd Approach fee Commercial TOTAL S'i % Ti Industrial Receipt # a %3 Other Cash/Check# Q^?°2-- j ' otal Valuation: Initials kicS Or4 Date �-24.� Estimated Cost: 3 0/ 0069 a U If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. j By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access d right of entry to erson unty and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right gf entry to plicant' p or stru e e r ue and shall occur during regular bus ness hours. �J C J ' O Signature( � Date: Sams -advti. -Drive,u A4..t5 4.�6 -t- r bir acts ini g- arras acme- d I(---Th a _.---- ----7) -De :� 6\(i 7rc l.1 .e 3::u....lL rA( i i v 1 1 • , S1°?' 451.I I 't 9v' Sy s k2 c ` 5;-0s e U, OD ag F� s°v p Z 1 ix,??' \p SUG coN Jefferson County Department of Community Development / 4��N cow 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: ` _44/&/,,/L2r /2 me th/ / Z /2 /' 9 Digit Parcel Identification Number (from your tax statement): // €n c/a g100303 Site Address 911#: 3 Road Name:S t-`,-4 f 0 Zip Code: q g „A.7 Legal Description Subdivision Name:A ICP,3 Block: Lot(s): Section: Township: 3 0 A) Range: c2s, yJ Parcel Size (acres or square footage): 13 r 3 Z 0 4 p p'k Property Owner: Phone: Mailing Address: I I ( 0 Rae(_Ct PT ad Applicant/Occupant: �L Phone: (if different from owner) Mailing Address: Authorized Rep: N."; / L 9'T/f6 Phone: ` Mailing Address: -_ - ( 3 (s ` General Contractor:Or Manufactured Home Installer: CAl(-////6 (071.41-71_1_/ve_ Phone: 3 g S�— 3q 1/7 Mailing Address: / 64- Contractor's State Licen e Number: u &'r 0 5 �,,\c Expiration Date: 7 _2 Septic Designer: 7 Phone: Mailing Address: Architect:/Engineer: 2tj Phone: Mailing Address: Htl1 Y Loan Lender/General Phone: Contractor's Bond Holder: �/"�VO Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan \V ZxG Gc_-rpv Rfll Ui IG / u} p oN 4x 4 -'�vp-r Pos75 Nv/Z XZ UAL-vS-r ; A-r✓ 10 [TOP,1 L , r,�S "• f'I(I JO/ST Co�pos.'TC OF21 zre T'-7 J�s7s Alv o/ d 2, S GL i G Jo I S'T- �x� L C C 4g 10 I6"iCl6' YP� /_ter U><CTlohflc,: I Lo—i I<I UrUll v I y� rl O 1�11 b\1 1 6/13 17 eIn r J(J-'Z�—: . tNrj4j(, �FJiLR1'3f? \,IALL £s %EJLir�G XAv/A (. 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